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Dissection Management with Drug-Coated Balloons

  • Gaetano Di Palma
  • Bernardo Cortese
Chapter

Abstract

In the “pre-stent era,” the immediate and midterm outcome of percutaneous transluminal coronary angioplasty (PTCA) was severely affected by restenosis, abrupt vessel closure, and coronary dissection. Regardless of the angiographic and morphological classification {Waller:1992tr}, the incidence of coronary dissection after PTCA has been reported ranging from 4% to 45% {Dorros:1983wf}{GuiterasVal:1987wy}, while autoptic studies showed the presence of coronary dissections in up to 80% of the cases, independently from the cause of death {Baughman:1981gb}, of patients treated with balloon angioplasty.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Gaetano Di Palma
    • 1
  • Bernardo Cortese
    • 1
  1. 1.Cardiac DepartmentSan Carlo ClinicMilanoItaly

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